- Humana (Phoenix, AZ)
- …require interpretation and independent determination of the appropriate courses of action. The Post - Acute Utilization Management Nurse 2 (VSP): + ... caring community and help us put health first** The Utilization Management Nursing Professional contributes to team...state, with no disciplinary action + 2+ years of Post Acute clinical experience in a SNF,… more
- Banner Health (Mesa, AZ)
- …unit, ICU, behavioral health unit and ED. **We are looking for a Registry Acute Clinical Staff Pharmacist to join our Banner University Medical Center - South Tucson ... are varied day and evening shifts.** **At least one year experience in an acute care hospital setting is required.** **Experience must include working in an acute… more
- HonorHealth (Phoenix, AZ)
- …the greater Phoenix metropolitan area. The comprehensive network encompasses six acute -care hospitals, an extensive medical group with primary, specialty and urgent ... families how to manage their illnesses or injuries, explain post -treatment and home care needs; diet, nutrition, and exercise...RN continues to enhance their knowledge in the nursing management and care of patient problems and conditions as… more
- CenterWell (Phoenix, AZ)
- … management program development and implementation with a focus on care transitions, post - acute care and high-risk management and care coordination. * ... cost of care, and reducing acute care utilization ). * Familiarity in integrated care management ...care regulations and policies related to care transitions and post - acute care management . * Computer… more
- ERP International (Luke AFB, AZ)
- …algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with ... Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC); Health Services… more
- Humana (Phoenix, AZ)
- …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Phoenix, AZ)
- …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post - acute services (such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Banner Health (Sun City, AZ)
- …the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and ... (5A, 5B, 5C, 5D) is a combined 41 bed acute care Medical Surgical/Progressive Care unit specializing in the...in the care of Orthopedic patients including: pre and post -op surgical care for a wide range of orthopedic… more
- Banner Health (Phoenix, AZ)
- …networks, and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the ... to the next. You will provide coordination and arrangement of post -discharge services, including home healthcare, extended care-services, medical equipment, and… more
- Humana (Phoenix, AZ)
- …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Banner Health (Phoenix, AZ)
- …networks, and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the ... to the next. You will provide coordination and arrangement of post -discharge services, including home healthcare, extended care-services, medical equipment, and… more
- HonorHealth (Scottsdale, AZ)
- …of services and coordinates the timely completion of the authorization process for Utilization Management Department. The PA Specialist will review referral and ... guidelines are met. Receives referral and admission requests from practices and acute / post - acute facilities. Verifies patient's demographic and insurance… more
- The Cigna Group (Phoenix, AZ)
- **Summary** The Nurse Case Management Lead Analyst is an integral member of the Care Management department as part of Evernorth Care Group (ENCG) primary care ... to improve the health of the patients we serve, with a focus on the management of high- and rising-risk, disease burdened members. The Nurse Case Management Lead… more
- HonorHealth (Scottsdale, AZ)
- …of potential VAD candidates in the inpatient setting and participate in the clinical management of pre- and post VAD implant patients in collaboration with the ... across the continuum. This position emphasizes health promotion and maintenance, and the management of patients with acute and chronic Heart Failure. This role… more
- Banner Health (Sun City, AZ)
- …in this position works with patients from the time they are scheduled through post -op consultation. You will educate and help guide patients through their journey in ... the hospital provides a wide range of services, including acute medical and surgical services as well as intensive...of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through… more
- HonorHealth (Scottsdale, AZ)
- …the greater Phoenix metropolitan area. The comprehensive network encompasses six acute -care hospitals, an extensive medical group with primary, specialty and urgent ... Network performance improvement and quality assurance activities including; drug utilization evaluation, medication error review, adverse drug reaction review and… more
- Matrix Providers (Glendale, AZ)
- …algorithms, CM software, and databases for community resources. + Integrate CM and utilization management (UM) and integrate nursing case management with ... following certifications: + Certified Case Manager by Commission for Case Management (CCM) or American Nurses Credentialing Center (ANCC) -OR- certification eligible… more
- Banner Health (Sun City West, AZ)
- …the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and ... 28-bed unit. Both specialize in cardiac care including congestive heart failure, post -catheterization care, and arrhythmia treatment. The unit will also involve care… more
- Adelante (Mesa, AZ)
- …person and by phone utilizing the nursing process and leadership skills to address acute and chronic needs of patients. The Nurse works collaboratively with the care ... and participates in educating patients, their families, or significant others about post -discharge care programs. + Initiates patient care meetings with the health… more
- Sharecare, Inc. (Phoenix, AZ)
- …of the care enhancement program by providing telephonic care and resource utilization for members in an appropriate, efficient, and cost-effective manner while ... the health care team to support appropriate total healthcare management . RD colleague is supervised by an Operations Manager....in the orientation and to take the pre and post -test to review competency during orientation. Yearly competency test… more